Freeport Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FREEPORT MEDICAL SUPPLY INC

Practice address

75 S Main St
Freeport, NY 11520-3841

Phone

(516) 208-7432

Fax

(516) 208-8096

NPI assigned

May 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Chukwuma Madu, RPH, PHARM.DNPI 1558543629

Title

President

Phone

(516) 208-7432

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• xtra care pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chukwuma Madu, PHARM.D.

  • Pharmacist
  • Freeport, NY
  • NPI 1558543629
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1346296308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 S MAIN ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203841",
            "telephone_number": "516-208-7432",
            "fax_number": "516-208-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S MAIN ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203841",
            "telephone_number": "516-208-7432",
            "fax_number": "516-208-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEPORT MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "MADU",
        "authorized_official_first_name": "CHUKWUMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-208-7432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPH, PHARM.D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3354684",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "xtra care pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn France-McMillan, MSW
• Francisco a Martinez Pediatrics PC
• Isadora Francois
• Benita Fredrick, PTA
• Freeport Dental , PC
• Freeport Pain Managment PC.
• Freeport Pride
• Freeport Pride, Inc.
• Freeport Public School
• Freeport RX Inc

• Durable Medical Equipment & Medical Supplies in Freeport, NY
• Providers in Freeport, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.